视网膜上增殖的片状黄斑孔牵引成分的多模型成像证据。

IF 2 4区 医学 Q2 OPHTHALMOLOGY Ophthalmic Research Pub Date : 2023-01-01 Epub Date: 2023-04-11 DOI:10.1159/000530529
Yu-Ting Su, Chung-May Yang, Tso-Ting Lai
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引用次数: 0

摘要

引言:本研究的目的是研究特发性板层黄斑裂孔(LMH)的视网膜前牵引与或不与板层裂孔相关的视网膜前增殖(LHEP)的关系。方法:回顾性的连续病例系列包括在一个三级转诊中心诊断为LMH的108眼。在接受手术干预的患者中,通过多模式成像研究和术中发现的视网膜前膜(ERM)、附着的后玻璃体或血管牵引的存在来确定视网膜上牵引。结果:53例LHEP患者的年龄、屈光度、初始和最终视力与55例无LHEP患者相似。两组均表现出较高的血管牵引发生率(有和无LHEP分别为92%和84%,p=0.36)和ERM和/或附着的后玻璃体发生率(均为100%,p=1.00)。在接受玻璃体切除术的30只有和19只没有LHEP的眼睛中,视力分别提高了10.5和14个ETDRS字母(p=0.60)。有和无LHEP的LMH术后血管牵引力分别为88%和100%(p=0.27)。在所有亚型中,LMH、ERM中央凹裂和混合亚型100%的病例都表现出视网膜前牵引力(p=1.00)。结论:我们的研究结果表明,通过多模式成像评估的视网膜前牵引是LMH显示LHEP的正常而非例外。当计划对LMH进行治疗时,应考虑牵引力的存在。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

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Multimodel Imaging Evidence of Traction Component in Lamellar Macular Hole with Epiretinal Proliferation.

Introduction: The aim of this study was to investigate the association of epiretinal traction in idiopathic lamellar macular hole (LMH) with or without lamellar hole-associated epiretinal proliferation (LHEP).

Methods: A retrospective consecutive case series included 108 eyes diagnosed with LMH in a single tertiary referral center. Epiretinal traction was determined by the presence of epiretinal membrane (ERM), attached posterior hyaloid, or vascular traction with multimodal imaging studies and intraoperative findings in those received surgical interventions.

Results: The 53 LMHs with LHEP had similar age, refraction, initial, and final visual acuity to the 55 LMHs without LHEP. Both groups exhibited high incidences of vascular traction (with and without LHEP: 92% and 84%, p = 0.36, respectively) and ERM and/or attached posterior hyaloid (both 100%, p = 1.00). The vision improved 10.5 and 14 ETDRS letters (p = 0.60) in the 30 eyes with and 19 eyes without LHEP that underwent vitrectomy. Vascular tractions released postoperatively in 88% and 100% of LMHs with and without LHEP, respectively (p = 0.27). The LMH, ERM foveoschisis, and mixed subtypes exhibited epiretinal traction in 100% of cases in all subtypes (p = 1.00).

Conclusion: Our findings indicated that epiretinal traction, evaluated by multimodal imaging, is the norm rather than the exception in LMHs showing LHEP. The presence of tractional forces should be taken into consideration when treatment was planned in LMHs.

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来源期刊
Ophthalmic Research
Ophthalmic Research 医学-眼科学
CiteScore
3.80
自引率
4.80%
发文量
75
审稿时长
6-12 weeks
期刊介绍: ''Ophthalmic Research'' features original papers and reviews reporting on translational and clinical studies. Authors from throughout the world cover research topics on every field in connection with physical, physiologic, pharmacological, biochemical and molecular biological aspects of ophthalmology. This journal also aims to provide a record of international clinical research for both researchers and clinicians in ophthalmology. Finally, the transfer of information from fundamental research to clinical research and clinical practice is particularly welcome.
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